Page:United States Statutes at Large Volume 92 Part 1.djvu/370

 92 STAT. 316

42 USC 1395x note.

42 USC 1396d.

42 USC 1395x.

Regulations. 42 USC 1396d note. 42 USC 1396.

Effective date. 42 USC 1396d note. Regulations. 42 USC 1396d note. 42 USC 1396b note.

PUBLIC LAW 95-292—JUNE 13, 1978 of the enactment of this Act, except that those amendments providing for the implementation of an incentive reimbursement system for dialysis services furnished in facilities and providers shall become effexjtive with respect to a facility's or provider's first accounting period which begins after the last day of the twelfth month following the month of the enactment of this Act, and those amendments providing for reimbursement rates for home dialysis shall become effective on April 1, 1979. SEC. 7. Section 15(d) of Public Law 93-233 (as amended by section 7(c) of Public Law 93-368 and the first section of Public Law 94-368) is amended by striking out "October 1, 1977" and inserting in lieu thereof "October 1, 1978". SEC. 8. (a) The first sentence of section 1905(c) of the Social Security Act is amended— (1) by striking "and (3)" and inserting in lieu thereof " (3) "; and (2) by striking out the period at the end thereof and inserting in lieu thereof the following ", and (4) meets the requirements of section 1861(j) (14) with respect to protection of patients' personal funds.". (b) The fourth sentence of section 1905(c) of such Act is amended by striking out "clauses (2) and (3)" and inserting in lieu thereof "clauses (2), (3), and (4)". (c) The Secretary of Health, Education, and Welfare shall, by regulation, define those costs which may be charged to the personal funds of patients in intermediate care facilities who are individuals receiving medical assistance under a State plan approved under the provisions of title X IX of the Social Security Act, and those costs which are to be included in the reasonable cost or reasonable charge for intermediate care facility services as determined under the provisions of such title. (d)(1) The amendments made by subsections (a) and (b) shall become effective on July 1, 1978. (2) The Secretary of Health, Education, and Welfare shall issue the regulations required under subsection (c) within 90 days after the date of enactment of this Act but not later than July 1, 1978. (e) Section 20(c)(2) of the Medicare-Medicaid Anti-Fraud and Abuse Amendments (Public Law 95-142) is amended by striking out "section 1905(g)" and inserting in lieu thereof "section 1903(g)". Approved June 13, 1978.

LEGISLATIVE HISTORY: HOUSE REPORT No. 95-549 (Comm. on Ways and Means). SENATE REPORT No. 95-714 (Comm. on Finance). CONGRESSIONAL RECORD: Vol. 123 (1977): Sept. 12, considered and passed House. Vol. 124 (1978): Apr. 10, considered and passed Senate, amended. May 1, House concurred in Senate amendment with an amendment. May 24, Senate concurred in House amendment. WEEKLY COMPILATION OF PRESIDENTIAL DOCUMENTS: Vol. 14, No. 24 (1978): June 13, Presidential statement.

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